Both Labor and the Coalition have committed to an $8.5 billion package to incentivise doctors to bulk-bill all patients, but surveys indicate most GPs do not plan to increase bulk-billing rates. An ABC News survey of over 800 GPs found that more than 90% said they would not move to full bulk-billing under the proposed changes. This aligns with a Royal Australian College of GPs survey showing two-thirds of respondents do not intend to bulk-bill more patients.
The changes are due to take effect in November this year. Labor's promise aims to make nine out of ten GP visits free by the end of the decade, while the Coalition has matched the funding. However, many doctors argue the policy misunderstands general practice, potentially leading to shorter consultations and compromised care quality.
In Mudgee, a NSW central west town, practice manager Colleen Best said the incentives would not change their billing rates. The Mudgee Medical Centre currently bulk-bills 65% of patients and charges $108 for private consultations. Under full bulk-billing, the centre would lose $21 per private patient, making it financially unviable. Best expects increased patient frustration and stress on staff.
RACGP president Dr Michael Wright noted that higher incentives for regional and remote areas could make a difference there, but the Australian General Practice Alliance warned that city clinics with higher overheads may be less likely to bulk-bill more patients. Many doctors remain sceptical that the policy will achieve its goals.
